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International University - School Of Universal Learning

Application for Admission

This application is for a   Certificate Program,   B.A.,   M.A.,   or   Ph.D   degree (check one).

Your Name:  
Street or P.O. Box:  
State & Country:  
Phone Number:  
Fax Number:  

Previous Education:

Summary of Work Experience:

Educational Goals:

Future Goals:

What interests you specifically about the
International University's curriculum?

Additional Related Experience and Educational Activities
pertinent to the degree program for which you are applying:

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